Organization
FREEDOM HOSPITAL OF MAGNOLIA LLC
Active
Organization
FREEDOM HOSPITAL OF MAGNOLIA LLC
Active
Other names
Beacham Memorial Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY JASON REED (CEO)
(337) 802-1336
Entity
Organization
Contact information
Practice address
205 N CHERRY ST, MAGNOLIA, MS 39652-2819
(601) 783-2353
(601) 783-9003
Mailing address
4815 IHLES RD, LAKE CHARLES, LA 70605-5900
(337) 802-1336
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
16-275
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20043
—
MS
Enumeration date
09/08/2016
Last updated
09/08/2016
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